Most Relevant Information
Provider Data
| NPI Number: | 1003265307 |
| Provider Name: | YVETTE MONIQUE CAVINESS-KELLEY FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 71006741A |
Most Important Dates
| Enumeration Date: | 06/07/2016 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
1545 N MERIDIAN ST
INDIANAPOLIS
IN
462022306
Practice Location Phone/Fax
| Phone: | 3179231491 |
| Fax: |
Provider Mailing Location
1545 N MERIDIAN ST
INDIANAPOLIS
IN
462022306
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |